Drop/Transfer Form
First Name:
Last Name: *
Alaska Student ID:
School Losing Student: Brevig MissionDiomedeElimGambellGolovinKoyukSavoongaShaktoolikShishmarefSt. MichaelStebbinsTellerUnalakleetWalesWhite Mountain
Transfer to Another BSSD school?: No, out of district.Brevig MissionDiomedeElimGambellGolovinKoyukSavoongaShaktoolikShishmarefSt. MichaelStebbinsTellerUnalakleetWalesWhite Mountain
Transfer from another Alaskan school district?: *
Reason for exit: Transfer to a public school in BSSD.Transfer to a public school in a different district in Alaska.Transfer to a public school in a different state or country.Transfer to a private school.Transfer to an institution (with an an educational program).Graduated with regular diploma.Graduated with regular diploma under a waiver.COA (certificate of attendance or achievement)DeathMaximum age and did not receive a diploma or COA.Dropped Out.Finished year as 12th grader & expected to return.Finished year as PK-11th grader & returning.
Drop Reason: Not a Drop - See Exit Info Above.10+ Days Unexcused Absence.Truancy.Kindergartener - stopped coming.Transfer to Home Schooling.Left for unknown reasons.Employment.Family problems.Pregnancy.Alcohol/drug dependency.Illness.Expulsion due to behavior.Pursuing GED.Entering Military
Testing Level: PK3PK4K12345678910111213
Last Date of Attendance: *
Date of Birth (MM/DD/YYYY):
Gender: FemaleMale
Is this a Special Education student? YesNo
If Yes, have the Special Ed records been sent to new school?: YesNoNot Sure
Person Requesting Transfer: SecretaryPrincipalCounselor
Your E-mail address:
Comments: